Hour-Specific Bilirubin Nomogram in Infants With ABO Incompatibility and Direct Coombs-Positive Results

Schutzman, David L.; Sekhon, Romal; Hundalani, Shilpa G

doi:10.1001/archpediatrics.2010.242

Cited by 9 publications

(2 citation statements)

References 18 publications

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“…There were reassuringly no changes in length of stay and re-admission rates for phototherapy among DAT negative newborns after the intervention (Supplementary Table 2 ). This supports prior findings that ABOi DAT negative newborns are likely at a low risk of HDN due to isoimmune hemolytic disease [ 16 , 21 ]. Moreover, although risk curve assignment depends on gestational age (e.g., newborns with gestational age <38 weeks and no risk factors are placed on the MRC), there were no significant changes between the pre- and post-intervention groups among DAT negative newborns in regards to gestational age.…”

Section: Discussionsupporting

confidence: 92%

Rates of phototherapy among ABO-incompatible newborns with a negative direct antiglobulin test

et al. 2023

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Objective We analyze phototherapy rates after implementation of a Hyperbilirubinemia Clinical Pathway (HCP), which placed full-term ABOi DAT negative newborns on the low risk phototherapy nomogram, rather than medium risk, as previously done. Study design A chart review was performed for ABOi newborns born ≥36 weeks gestation between January 2020 and October 2021. Primary outcome measures were rates of phototherapy across pre- and post-intervention groups and among DAT negative newborns. Results There was an increased proportion of newborns assigned to the low risk curve after the intervention. There were no significant differences in phototherapy rates among the intervention groups, although there was a non-significant decrease in phototherapy rates among DAT negative newborns after the intervention. There were no increases in adverse outcomes. Conclusions Providers adhered to the guidelines after implementation of the HCP. ABOi DAT negative newborns can be viewed as low risk for hyperbilirubinemia requiring phototherapy.

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Section: Discussionsupporting

confidence: 92%

Rates of phototherapy among ABO-incompatible newborns with a negative direct antiglobulin test

et al. 2023

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“…29 The risk of developing severe hyperbilirubinemia can be estimated by plotting TSB levels on the Bhutani nomogram 29,30 or by using an online assessment tool such as BiliTool ( Table 2). Although the Bhutani nomogram identifies infants of $35 weeks' gestation who are at risk for significant hyperbilirubinemia, 31 this tool should be used to inform, not dictate, clinical care. TcB measurements are best used when TSB levels are estimated to be ,15 mg/dL and are relatively easy and painless 29,32 ; however, result discrepancies may occur in neonates of African descent, and levels may vary on the basis of the type of TcB meter being used.…”

Section: Hyperbilirubinemiamentioning

confidence: 99%

Current Scope of Practice for Newborn Care in Non-Intensive Hospital Settings

Chung

Gable

Golden

et al. 2017

Hospital Pediatrics

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The scope of practice for newborn care in nonintensive hospital settings is ever changing, with obstetric care advances, shorter length of stay (LOS), and increased family-centered care. 1 In response to the US Surgeon General' s call to support breastfeeding and Baby Friendly USA, more infants receive care in their mothers' rooms. 2,3 Newborn clinicians require skills including diagnostic expertise and critical thinking, adaptability and sensitivity, and an understanding of this critical period of infant bonding. They also require leadership skills to manage hospital policies and link families with targeted community resources. This overview is based on the experience and research of a working group of the Academic Pediatric Association Newborn Nursery Special Interest Group (NN SIG), which consists of medical directors and physicians with expertise in newborn care from across the United States. The workgroup consisted of 17 newborn physicians ranging from young faculty to full professors at urban and rural academic and community hospitals in 17 cities and

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Factors Influencing the Severity of Jaundice in Direct Antiglobulin (Coomb’s) Test Positive Neonates

Nisha,

Ganesan,

Kumar

et al. 2024

Indian J Hematol Blood Transfus

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Hour-Specific Bilirubin Nomogram in Infants With ABO Incompatibility and Direct Coombs-Positive Results

Abstract: To determine the usefulness of the hourspecific Bhutani et al bilirubin nomogram when applied to infants with Coombs-positive test results. Design: Retrospective chart review. Setting: Term nursery and neonatal intensive care unit of a university-affiliated hospital.

Cited by 9 publications

References 18 publications

Rates of phototherapy among ABO-incompatible newborns with a negative direct antiglobulin test

Rates of phototherapy among ABO-incompatible newborns with a negative direct antiglobulin test

Current Scope of Practice for Newborn Care in Non-Intensive Hospital Settings

Factors Influencing the Severity of Jaundice in Direct Antiglobulin (Coomb’s) Test Positive Neonates

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